Fee-for-Service School Certified Match Reimbursement Report Calendar Year 2017 Quarter 3

Billing ProvID Services District Reimb Amt 008000400 Base Number Seminole $0.00 008000401 Therapy Services Seminole $24,420.67 008000412 Transportation Seminole $2,628.68 008000415 Nursing Services Seminole $7,573.47 008000417 Mental Health-Psychology Seminole $11,343.31 008000418 Mental Health-Soc Worker Seminole $71.05 Seminole Total $46,037.18 008001200 Base Number Palm Beach $0.00 008001201 Therapy Services Palm Beach $2,186,178.10 008001212 Transportation Palm Beach $0.00 008001215 Nursing Services Palm Beach $0.00 008001217 Mental Health-Psychology Palm Beach $12,576.83 008001218 Mental Health-Soc Worker Palm Beach $0.00 Palm Beach Total $2,450,986.26 008002100 Base Number Leon $0.00 008002101 Therapy Services Leon $16,292.45 008002112 Transportation Leon $16,395.15 008002115 Nursing Services Leon $9,280.27 008002117 Mental Health-Psychology Leon $4,070.24 008002118 Mental Health-Soc Worker Leon $0.00 Leon Total $46,038.11 008003900 Base Number Bay $0.00 008003901 Therapy Services Bay $33,068.17 008003912 Transportation Bay $15,417.48 008003915 Nursing Services Bay $4,123.13 008003917 Mental Health-Psychology Bay $419.07 008003918 Mental Health-Soc Worker Bay $1,445.56 Bay Total $54,473.41 008004700 Base Number Broward $0.00 008004701 Therapy Services Broward $395,148.49 008004712 Transportation Broward $189,509.98 008004715 Nursing Services Broward $17,334.86 008004717 Mental Health-Psychology Broward $57,008.89 008004718 Mental Health-Soc Worker Broward $55,051.43 Broward Total $714,053.65 008005500 Base Number Citrus $0.00 008005501 Therapy Services Citrus $3,869.68 008005512 Transportation Citrus $3,243.58 008005515 Nursing Services Citrus $6,996.67 008005517 Mental Health-Psychology Citrus $549.00 008005518 Mental Health-Soc Worker Citrus $0.00

Citrus Total $14,658.93 008006300 Base Number Manatee $0.00 008006301 Therapy Services Manatee $35,559.91 008006312 Transportation Manatee $0.00 008006315 Nursing Services Manatee $2,563.89 008006317 Mental Health-Psychology Manatee $6,603.59 008006318 Mental Health-Soc Worker Manatee $892.39 Manatee Total $45,619.78 008007100 Base Number Clay $0.00 008007101 Therapy Services Clay $9,608.00 008007112 Transportation Clay $3,962.70 008007115 Nursing Services Clay $25,105.24 008007117 Mental Health-Psychology Clay $328.21 008007118 Mental Health-Soc Worker Clay $0.00 Clay Total $39,004.15 008008000 Base Number Desoto $0.00 008008001 Therapy Services Desoto $5,486.23 008008012 Transportation Desoto $8,493.33 008008015 Nursing Services Desoto $46.95 008008017 Mental Health-Psychology Desoto $371.83 008008018 Mental Health-Soc Worker Desoto $0.00 Desoto Total $14,398.34 008009800 Base Number Hillsborough $0.00 008009801 Therapy Services Hillsborough $2,429.38 008009812 Transportation Hillsborough $0.00 008009815 Nursing Services Hillsborough $0.00 008009817 Mental Health-Psychology Hillsborough $0.00 008009818 Mental Health-Soc Worker Hillsborough $0.00 Hillsborough Total $2,429.38 008010100 Base Number Sarasota $927,259.00 008010101 Therapy Services Sarasota $40,933.07 008010112 Transportation Sarasota $21,389.67 008010115 Nursing Services Sarasota $1,581.83 008010117 Mental Health-Psychology Sarasota $6,522.88 008010118 Mental Health-Soc Worker Sarasota $1,117.99 Sarasota Total $998,804.44 008011000 Base Number Marion $0.00 008011001 Therapy Services Marion $42,557.67 008011012 Transportation Marion $43,381.89 008011015 Nursing Services Marion $988.99 008011017 Mental Health-Psychology Marion $672.65 008011018 Mental Health-Soc Worker Marion $931.29 Marion Total $88,532.49

008012800 Base Number Polk $0.00 008012801 Therapy Services Polk $42,859.59 008012812 Transportation Polk $0.00 008012815 Nursing Services Polk $375.42 008012817 Mental Health-Psychology Polk $6,054.47 008012818 Mental Health-Soc Worker Polk $0.00 Polk Total $49,289.48 008013600 Base Number Gadsden $0.00 008013601 Therapy Services Gadsden $731.17 008013612 Transportation Gadsden $0.00 008013615 Nursing Services Gadsden $0.00 008013617 Mental Health-Psychology Gadsden $430.88 008013618 Mental Health-Soc Worker Gadsden $0.00 Gadsden Total $1,162.05 008014400 Base Number Martin $0.00 008014401 Therapy Services Martin $227,598.40 008014412 Transportation Martin $0.00 008014415 Nursing Services Martin $0.00 008014417 Mental Health-Psychology Martin $0.00 008014418 Mental Health-Soc Worker Martin $0.00 Martin Total $227,598.40 008015200 Base Number FSDB $0.00 008015201 Therapy Services FSDB $4,526.21 008015212 Transportation FSDB $0.00 008015215 Nursing Services FSDB $6,478.50 008015217 Mental Health-Psychology FSDB $2,264.29 008015218 Mental Health-Soc Worker FSDB $0.00 FSDB Total $13,269.00 008016100 Base Number Monroe $0.00 008016101 Therapy Services Monroe $694.87 008016112 Transportation Monroe $0.00 008016115 Nursing Services Monroe $7,763.06 008016117 Mental Health-Psychology Monroe $0.00 008016118 Mental Health-Soc Worker Monroe $0.00 Monroe $8,457.93 008017900 Base Number Pinellas $0.00 008017901 Therapy Services Pinellas $84,809.76 008017912 Transportation Pinellas $45,032.79 008017915 Nursing Services Pinellas $15,422.92 008017917 Mental Health-Psychology Pinellas $17,318.58 008017918 Mental Health-Soc Worker Pinellas $12,831.30 Pinellas Total $175,415.35 008018700 Base Number Lee $0.00

008018701 Therapy Services Lee $27,602.67 008018712 Transportation Lee $25,735.32 008018715 Nursing Services Lee $0.00 008018717 Mental Health-Psychology Lee $85.78 008018718 Mental Health-Soc Worker Lee $0.00 Lee Total $53,423.77 008019500 Base Number Dade $0.00 008019501 Therapy Services Dade $111,797.44 008019512 Transportation Dade $101,566.34 008019515 Nursing Services Dade $14,823.42 008019517 Mental Health-Psychology Dade $38,691.56 008019518 Mental Health-Soc Worker Dade $21,214.57 Dade Total $288,093.33 008020900 Base Number Duval $0.00 008020901 Therapy Services Duval $84,774.43 008020912 Transportation Duval $0.00 008020915 Nursing Services Duval $4,259.58 008020917 Mental Health-Psychology Duval $590.23 008020918 Mental Health-Soc Worker Duval $0.00 Duval Total $89,624.24 008021700 Base Number Okeechobee $0.00 008021701 Therapy Services Okeechobee $3,578.76 008021712 Transportation Okeechobee $0.00 008021715 Nursing Services Okeechobee $12.25 008021717 Mental Health-Psychology Okeechobee $430.87 008021718 Mental Health-Soc Worker Okeechobee $0.00 Okeechobee Total $4,021.88 008022500 Base Number St. Lucie $463,570.00 008022501 Therapy Services St. Lucie $18,790.98 008022512 Transportation St. Lucie $40,850.00 008022515 Nursing Services St. Lucie $4,570.29 008022517 Mental Health-Psychology St. Lucie $3,175.60 008022518 Mental Health-Soc Worker St. Lucie $0.00 St. Lucie Total $530,956.87 008023300 Base Number Osceola $0.00 008023301 Therapy Services Osceola $313,573.75 008023312 Transportation Osceola $0.00 008023315 Nursing Services Osceola $0.00 008023317 Mental Health-Psychology Osceola $0.00 008023318 Mental Health-Soc Worker Osceola $0.00 Osceola Total $313,573.75 008024100 Base Number Sumter $0.00 008024101 Therapy Services Sumter $555.44

008024112 Transportation Sumter $0.00 008024115 Nursing Services Sumter $682.59 008024117 Mental Health-Psychology Sumter $66.44 008024118 Mental Health-Soc Worker Sumter $0.00 Sumter Total $1,304.47 008025000 Base Number Gulf $0.00 008025001 Therapy Services Gulf $1,869.08 008025012 Transportation Gulf $0.00 008025015 Nursing Services Gulf $0.00 008025017 Mental Health-Psychology Gulf $0.00 008025018 Mental Health-Soc Worker Gulf $419.87 Gulf Total $2,288.95 008026800 Base Number Baker $0.00 008026801 Therapy Services Baker $2,685.22 008026812 Transportation Baker $0.00 008026815 Nursing Services Baker $2,996.73 008026817 Mental Health-Psychology Baker $314.39 008026818 Mental Health-Soc Worker Baker $0.00 Baker Total $5,996.34 008027600 Base Number Alachua $0.00 008027601 Therapy Services Alachua $23,226.89 008027612 Transportation Alachua $0.00 008027615 Nursing Services Alachua $0.00 008027617 Mental Health-Psychology Alachua $0.00 008027618 Mental Health-Soc Worker Alachua $0.00 Alachua Total $23,226.89 008028400 Base Number Dixie $0.00 008028401 Therapy Services Dixie $469.03 008028412 Transportation Dixie $0.00 008028415 Nursing Services Dixie $348.30 008028417 Mental Health-Psychology Dixie $48.06 008028418 Mental Health-Soc Worker Dixie $0.00 Dixie Total $865.39 008029200 Base Number Bradford $0.00 008029201 Therapy Services Bradford $835.56 008029212 Transportation Bradford $0.00 008029215 Nursing Services Bradford $0.00 008029217 Mental Health-Psychology Bradford $111.88 008029218 Mental Health-Soc Worker Bradford $0.00 Bradford Total $947.44 008030600 Base Number Putnam $0.00 008030601 Therapy Services Putnam $3,188.64 008030612 Transportation Putnam $6,967.08

008030615 Nursing Services Putnam $3,355.61 008030617 Mental Health-Psychology Putnam $1,061.05 008030618 Mental Health-Soc Worker Putnam $530.42 Putnam Total $15,102.80 008031400 Base Number Liberty $0.00 008031401 Therapy Services Liberty $894.47 008031412 Transportation Liberty $832.03 008031415 Nursing Services Liberty $10,139.39 008031417 Mental Health-Psychology Liberty $0.00 008031418 Mental Health-Soc Worker Liberty $43.84 Liberty Total $11,909.73 008032200 Base Number Flagler $0.00 008032201 Therapy Services Flagler $5,712.09 008032212 Transportation Flagler $2,019.21 008032215 Nursing Services Flagler $851.67 008032217 Mental Health-Psychology Flagler $826.20 008032218 Mental Health-Soc Worker Flagler $1,647.05 Flagler Total $11,056.22 008033100 Base Number Indian River $0.00 008033101 Therapy Services Indian River $3,681.92 008033112 Transportation Indian River $2,441.20 008033115 Nursing Services Indian River $564.82 008033117 Mental Health-Psychology Indian River $167.36 008033118 Mental Health-Soc Worker Indian River $0.00 Indian River Total $6,855.30 008034900 Base Number St. Johns $0.00 008034901 Therapy Services St. Johns $18,809.20 008034912 Transportation St. Johns $5,280.07 008034915 Nursing Services St. Johns $6,671.68 008034917 Mental Health-Psychology St. Johns $929.31 008034918 Mental Health-Soc Worker St. Johns $0.00 St. Johns Total $31,690.26 008035700 Base Number Jefferson $0.00 008035701 Therapy Services Jefferson $0.00 008035712 Transportation Jefferson $0.00 008035715 Nursing Services Jefferson $0.00 008035717 Mental Health-Psychology Jefferson $0.00 008035718 Mental Health-Soc Worker Jefferson $0.00 Jefferson Total $0.00 008036500 Base Number Columbia $0.00 008036501 Therapy Services Columbia $11,206.38 008036512 Transportation Columbia $704.31 008036515 Nursing Services Columbia $156.44

008036517 Mental Health-Psychology Columbia $0.00 008036518 Mental Health-Soc Worker Columbia $0.00 Columbia Total $12,067.13 008037300 Base Number Wakulla $0.00 008037301 Therapy Services Wakulla $1,974.86 008037312 Transportation Wakulla $0.00 008037315 Nursing Services Wakulla $0.00 008037317 Mental Health-Psychology Wakulla $0.00 008037318 Mental Health-Soc Worker Wakulla $0.00 Wakulla Total $1,974.86 008038100 Base Number Hamilton $0.00 008038101 Therapy Services Hamilton $24,286.94 008038112 Transportation Hamilton $0.00 008038115 Nursing Services Hamilton $83.61 008038117 Mental Health-Psychology Hamilton $0.00 008038118 Mental Health-Soc Worker Hamilton $0.00 Hamilton Total $24,370.55 008039000 Base Number Union $0.00 008039001 Therapy Services Union $23,848.06 008039012 Transportation Union $0.00 008039015 Nursing Services Union $0.00 008039017 Mental Health-Psychology Union $0.00 008039018 Mental Health-Soc Worker Union $0.00 Union Total $23,848.06 008040300 Base Number Lake $0.00 008040301 Therapy Services Lake $0.00 008040312 Transportation Lake $0.00 008040315 Nursing Services Lake $0.00 008040317 Mental Health-Psychology Lake $0.00 008040318 Mental Health-Soc Worker Lake $0.00 Lake Total $0.00 008041100 Base Number Orange $0.00 008041101 Therapy Services Orange $51,793.22 008041112 Transportation Orange $39,680.40 008041115 Nursing Services Orange $6,388.45 008041117 Mental Health-Psychology Orange $6,928.04 008041118 Mental Health-Soc Worker Orange $915.12 Orange Total $105,705.23 008042000 Base Number Franklin $0.00 008042001 Therapy Services Franklin $1,641.88 008042012 Transportation Franklin $0.00 008042015 Nursing Services Franklin $0.00 008042017 Mental Health-Psychology Franklin $2,462.08

008042018 Mental Health-Soc Worker Franklin $0.00 Franklin Total $4,103.96 008043800 Base Number Levy $0.00 008043801 Therapy Services Levy $255.64 008043812 Transportation Levy $2,907.65 008043815 Nursing Services Levy $0.00 008043817 Mental Health-Psychology Levy $0.00 008043818 Mental Health-Soc Worker Levy $0.00 Levy Total $3,163.29 008044600 Base Number Lafayette $0.00 008044601 Therapy Services Lafayette $485.63 008044612 Transportation Lafayette $0.00 008044615 Nursing Services Lafayette $0.00 008044617 Mental Health-Psychology Lafayette $0.00 008044618 Mental Health-Soc Worker Lafayette $0.00 Lafayette Total $485.63 008045400 Base Number Hernando $0.00 008045401 Therapy Services Hernando $12,239.19 008045412 Transportation Hernando $833.41 008045415 Nursing Services Hernando $165.07 008045417 Mental Health-Psychology Hernando $1,739.36 008045418 Mental Health-Soc Worker Hernando $300.54 Hernando Total $15,277.57 008046200 Base Number Suwannee $0.00 008046201 Therapy Services Suwannee $3,703.28 008046212 Transportation Suwannee $0.00 008046215 Nursing Services Suwannee $0.00 008046217 Mental Health-Psychology Suwannee $0.00 008046218 Mental Health-Soc Worker Suwannee $0.00 Suwannee Total $3,703.28 008047100 Base Number Nassau $103,105.00 008047101 Therapy Services Nassau $20,165.42 008047112 Transportation Nassau $2,380.68 008047115 Nursing Services Nassau $2,423.49 008047117 Mental Health-Psychology Nassau $7,083.41 008047118 Mental Health-Soc Worker Nassau $0.00 Nassau Total $135,158.00 008048900 Base Number Taylor $0.00 008048901 Therapy Services Taylor $0.00 008048912 Transportation Taylor $0.00 008048915 Nursing Services Taylor $0.00 008048917 Mental Health-Psychology Taylor $0.00 008048918 Mental Health-Soc Worker Taylor $0.00

Taylor Total $0.00 008049700 Base Number Gilchrist $0.00 008049701 Therapy Services Gilchrist $0.00 008049712 Transportation Gilchrist $0.00 008049715 Nursing Services Gilchrist $0.00 008049717 Mental Health-Psychology Gilchrist $0.00 008049718 Mental Health-Soc Worker Gilchrist $0.00 Gilchrist Total $0.00 008050100 Base Number Hendry $0.00 008050101 Therapy Services Hendry $13,865.41 008050112 Transportation Hendry $2,328.51 008050115 Nursing Services Hendry $198.23 008050117 Mental Health-Psychology Hendry $0.00 008050118 Mental Health-Soc Worker Hendry $1,273.62 Hendry Total $17,665.77 008051900 Base Number Volusia $0.00 008051901 Therapy Services Volusia $15,917.17 008051912 Transportation Volusia $7,245.00 008051915 Nursing Services Volusia $2,001.73 008051917 Mental Health-Psychology Volusia $4,508.59 008051918 Mental Health-Soc Worker Volusia $2,037.52 Volusia Total $31,710.01 008052700 Base Number Hardee $0.00 008052701 Therapy Services Hardee $6,540.83 008052712 Transportation Hardee $0.00 008052715 Nursing Services Hardee $0.00 008052717 Mental Health-Psychology Hardee $1,468.31 008052718 Mental Health-Soc Worker Hardee $0.00 Hardee Total $8,009.14 008053500 Base Number Madison $0.00 008053501 Therapy Services Madison $3,778.87 008053512 Transportation Madison $0.00 008053515 Nursing Services Madison $0.00 008053517 Mental Health-Psychology Madison $0.00 008053518 Mental Health-Soc Worker Madison $94.44 Madison Total $3,873.31 008054300 Base Number Highlands $0.00 008054301 Therapy Services Highlands $347.88 008054312 Transportation Highlands $2,467.06 008054315 Nursing Services Highlands $0.00 008054317 Mental Health-Psychology Highlands $236.02 008054318 Mental Health-Soc Worker Highlands $0.00 Highlands Total $3,050.96

008055100 Base Number Calhoun $0.00 008055101 Therapy Services Calhoun $3,065.59 008055112 Transportation Calhoun $1,741.74 008055115 Nursing Services Calhoun $16,369.88 008055117 Mental Health-Psychology Calhoun $0.00 008055118 Mental Health-Soc Worker Calhoun $0.00 Calhoun Total $21,177.21 008056000 Base Number Collier $0.00 008056001 Therapy Services Collier $0.00 008056012 Transportation Collier $0.00 008056015 Nursing Services Collier $20,767.76 008056017 Mental Health-Psychology Collier $0.00 008056018 Mental Health-Soc Worker Collier $0.00 Collier Total $20,767.76 008057800 Base Number Brevard $0.00 008057801 Therapy Services Brevard $26,427.68 008057812 Transportation Brevard $889.25 008057815 Nursing Services Brevard $0.00 008057817 Mental Health-Psychology Brevard $0.00 008057818 Mental Health-Soc Worker Brevard $1,147.55 Brevard Total $28,464.48 008058600 Base Number Jackson $0.00 008058601 Therapy Services Jackson $1,396.37 008058612 Transportation Jackson $8,960.41 008058615 Nursing Services Jackson $0.00 008058617 Mental Health-Psychology Jackson $212.48 008058618 Mental Health-Soc Worker Jackson $0.00 Jackson Total $10,569.26 008059400 Base Number Escambia $0.00 008059401 Therapy Services Escambia $28,975.16 008059412 Transportation Escambia $70,271.10 008059415 Nursing Services Escambia $2,555.54 008059417 Mental Health-Psychology Escambia $4,639.04 008059418 Mental Health-Soc Worker Escambia $787.02 Escambia Total $107,227.86 008060800 Base Number Pasco $0.00 008060801 Therapy Services Pasco $31,023.08 008060812 Transportation Pasco $1,047.41 008060815 Nursing Services Pasco $3,279.80 008060817 Mental Health-Psychology Pasco $2,939.36 008060818 Mental Health-Soc Worker Pasco $458.16 Pasco Total $38,747.81 008061600 Base Number Okaloosa $0.00

008061601 Therapy Services Okaloosa $175,745.13 008061612 Transportation Okaloosa $0.00 008061615 Nursing Services Okaloosa $0.00 008061617 Mental Health-Psychology Okaloosa $166.18 008061618 Mental Health-Soc Worker Okaloosa $0.00 Okaloosa Total $175,911.31 008062400 Base Number Walton $0.00 008062401 Therapy Services Walton $4,461.06 008062412 Transportation Walton $0.00 008062415 Nursing Services Walton $111.67 008062417 Mental Health-Psychology Walton $47.21 008062418 Mental Health-Soc Worker Walton $0.00 Walton Total $4,619.94 008063200 Base Number Charlotte $0.00 008063201 Therapy Services Charlotte $0.00 008063212 Transportation Charlotte $0.00 008063215 Nursing Services Charlotte $0.00 008063217 Mental Health-Psychology Charlotte $0.00 008063218 Mental Health-Soc Worker Charlotte $0.00 Charlotte Total $0.00 081000200 Base Number Glades $0.00 081000201 Therapy Services Glades $0.00 081000212 Transportation Glades $0.00 081000215 Nursing Services Glades $0.00 081000217 Mental Health-Psychology Glades $0.00 081000218 Mental Health-Soc Worker Glades $0.00 Glades Total $0.00 081002900 Base Number Holmes $0.00 081002901 Therapy Services Holmes $1,207.67 081002912 Transportation Holmes $0.00 081002915 Nursing Services Holmes $0.00 081002917 Mental Health-Psychology Holmes $11.72 081002918 Mental Health-Soc Worker Holmes $0.00 Holmes Total $1,219.39 081003700 Base Number Washington $0.00 081003701 Therapy Services Washington $0.00 081003712 Transportation Washington $0.00 081003715 Nursing Services Washington $0.00 081003717 Mental Health-Psychology Washington $0.00 081003718 Mental Health-Soc Worker Washington $0.00 Washington Total $0.00 081005300 Base Number Santa Rosa $0.00 081005301 Therapy Services Santa Rosa $11,126.03

081005312 Transportation Santa Rosa $3,795.07 081005315 Nursing Services Santa Rosa $53,750.51 081005317 Mental Health-Psychology Santa Rosa $1,776.49 081005318 Mental Health-Soc Worker Santa Rosa $0.00 Santa Rosa Total $70,448.10